| NPI | 1467731505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: NV 16441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 16441) |
| 207R00000X Internal Medicine (Licence: GA 75370) | |
| 207R00000X Internal Medicine (Licence: SC MD36677) | |
| 208M00000X Hospitalist (Licence: CA A145141) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2022-09-16 |